一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集

Abstract

Full Text of PDF Full Text of PDF (372k)
Article in Japanese

Case Report

Case of elderly onset amyotrophic lateral sclerosis initially presenting as difficult-to-treat aspiration pneumonia

Hiroaki Ishikawaa  Hiroaki Tachia  Tetsuto Yamaguchib  Ai Hosakab  Hiroshi Noderaa  Shinji Teramotoa 

aDepartment of Pulmonary Medicine, Hitachi, Ltd., Hitachinaka General Hospital
bDepartment of Neurology, Hitachi, Ltd., Hitachinaka General Hospital

ABSTRACT

An 85-year-old man was admitted to our hospital because of cough and sputum. During the 2 months prior to admission, he was repeatedly treated with several antibiotics for pneumonia; however, his symptoms did not improve. Videofluorographic examination indicated tracheal penetration and abnormal pooling. Therefore we diagnosed the patient with aspiration pneumonia. Oral care management was initiated, and 6 g of sulbactam/ampicillin was administered daily. However, the chest radiographic findings and symptoms did not improve. He was finally diagnosed with amyotrophic lateral sclerosis based on the findings of neurologic examination. The possibility of late-onset neurological diseases should be considered in the differential diagnosis prior to initiating therapy for difficult-to-treat aspiration pneumonia in elderly cases.

KEYWORDS

Difficult-to-treat aspiration pneumonia  Dysphagia  Videofluorographic examination  Amyotrophic lateral sclerosis 

Received 1 Oct 2013 / Accepted 3 Dec 2013

AJRS, 3(2): 297-299, 2014

Google Scholar